Repeat Transcatheter Aortic Valve Replacement and Follow-Up of Embolized Transcatheter Heart Valve After 13 Years

Abdul Rahman Ihdayhid; Janarthanan Sathananthan; Richard Brown; Philipp Blanke; John G Webb

doi:10.1016/j.jaccas.2020.12.011

Repeat Transcatheter Aortic Valve Replacement and Follow-Up of Embolized Transcatheter Heart Valve After 13 Years

JACC Case Rep. 2021 Feb 10;3(4):633-635. doi: 10.1016/j.jaccas.2020.12.011. eCollection 2021 Apr.

Authors

Abdul Rahman Ihdayhid¹, Janarthanan Sathananthan¹, Richard Brown¹, Philipp Blanke¹, John G Webb¹

Affiliation

¹ Centres for Heart Valve Innovation and for Cardiovascular Innovation, St. Paul's and Vancouver General Hospitals, Vancouver, Canada.

Abstract

A 79-year-old woman was treated with a 23-mm balloon-expandable transcatheter heart valve (THV) that was initially complicated by an embolized THV requiring deployment in the descending aorta. She presented 13-years later with a degenerated bioprosthesis requiring redo THV. Pre-procedural computed tomography was important in highlighting underexpansion of the initial THV and open leaflets in the embolized valve. (Level of Difficulty: Advanced.).

Keywords: CT, computed tomography; TAVR, transcatheter aortic valve replacement; THV, transcatheter heart valve; aortic stenosis; redo TAVR; transcatheter aortic valve replacement (TAVR).